PROFESSIONAL SUMMARY:

• Over 8 years of professional knowledge in Software Development Life Cycle SDLC and STLC along with Business Process Reengineering in Health Care Sector with prime focus onEnrollment, Claims adjudication, Provider Network Management and Authorization for Commercial, Medicare and Medicaid LOBs.
• Comprehensive experience in different SDLC methodologies: Waterfall, Agile and Rational Unified Process.
• Experience in analyzing business requirements from product owner
• Involved in front end and back end testing.
• Extensive knowledge on FACETS Benefit Enrollment, Claims, Provider, UM module.
• Functional knowledge in developing and implementing Claim Processing Systems.
• Experience in scheduling Facets core jobs like CKMM, CLMU, UMI0, 837i, 837o, BOTB, BINB etc. using CONTROL - M in UAT environment. Also verified and analyzed the error reports for facets upgrade support.
• Developed manual/automated test scripts and performed different types of testing activities involving functional, Smoke, Integration, Regression, Sanity and UAT User Acceptance Testing involving compatibility testing.
• Good understanding of EDI Transactions 834, 270/271, 837I, 837P, 835.
• Experience in creating XML request and response files while doing back end testing.
• Has been involved in handling various components such as Facets Interfaces, Reports, Letters and Extensions.
• Expertise in analyzing system and functional specifications used cases, Business Requirements and business rules to prepare Test Plans and design Test Cases along with Test Scenarios.
• User on the changes being released and conducting post production activities like getting feedback from users.
• Experience in testing configuration design documents, Impact Analysis and understand the workflow of product configuration.
• Experience in creating test scope, test plan, test strategies and test scripts.
• Proficient in using the defect-tracking tools like Quality center (QC) and JIRA.
• Proficient in using Team foundation Server (TFS)
• Involved with product owner while finishing the sprint stories and delivering according to product owner requirements
• Self-learner and resourceful

TECHNICAL SKILLS:

Methodologies: Waterfall Methodology, Agile Methodology, RUP Rational Unified Process

Storyboarding and Defect Management: Jira, Version 1, Trello, Serena Bussiness Management (SBM)

RDBMS and Databases: MS Access, SQL server, Oracle 9i, Sybase, Winsql

Operating Systems: Windows Family, Familiar with UNIX and LINUX

Office Tools: MS Office, Word, Excel, PowerPoint, Visio, Outlook

Project Management: Microsoft Project, Microsoft Office

Test Management Tools: TFS, QC, HP ALM

PROFESSIONAL EXPERIENCE:

Confidential, Dallas, TX

QA ANALYST

Responsibilities:

• Involved in developing detail Test Plans for different benefit packages according to Business requirements documentation.
• Involved in discussion with the Subject Matter Experts (SME) during creation of test plans and updating of business requirements.
• Acting as liaison between end user and Facets for user problems, outstanding issues, needs and new software releases
• Follow up management on errors made by Data Entry associates.
• Performed UAT Testing Manually in coordination with UAT group to ensure correct business logic.
• Involved in new development, support, enhancement of application.
• Worked with business leaders to translate business requirements and processes into test cases according to Facets package requirements and subsequent effective configuration.
• Involved in FACETS Implementation, involved end to end testing of FACETS Billing, Claim Processing and Subscriber/Member module.
• Set claim processing data for different Facets Module.
• Performed Manual Testing using Quality Center (QC) and User Acceptance Testing (UAT).
• Monitored workflow of the Resolution/Adjustment Unit, delegate tasks accordingly, and ensure that quality, quantity, and efficiency standards are met or exceeded.
• Worked under HIPAA compliance standards.
• Performed Front-End Testing, Functionality Testing, and Data Driven Testing using QTP.
• Developed test automation scripts using Quick Test Pro.
• Maintained Test Matrix which gives overview of the Testing Effort.
• Tested Claims intake/Logged claims/Filed claims data from Pulse tables to Oracle Financials.
• Monitoring the defect life cycle, generating customized graphs and reports for the client, using Quality Center.
• Used Quality Center to record documenting information useful in debugging process, evaluating test data.
• Used Quality Center for reporting and tracking bug and generating reports.

Environment: FACETS, Java, Windows, Oracle, Quick Test Pro, Load Runner and Quality Center.

Confidential, Grand Rapids, MI

QA Analyst

Responsibilities:

• Reviewed Business Requirement Documents (BRD’s) and functional requirements.
• Formulating detailed Test Plan using HP ALM Quality Center after analyzing business rationale and software requirement artifacts.
• Conducted Positive, negative and system integration testing (SIT).
• Involved in Functional System Testing, Integration Testing, Regression Testing, and User Acceptance Test (UAT) using the test cases before releasing the application.
• Prepared step by step test cases with details.
• Executed test cases manually.
• Tested the HIPPA EDI 820, 834, 270/271, 276/277, 837/835 transactions according to test scenarios and verify the data on different modules.
• Good experience in handling Tidal batch scheduler.
• Analyzed defects and report defects to development teams.
• Closely worked with the development team on resolving issues.
• Authored test case scenarios in Excel spread sheet and export them into HP ALM.
• Wrote test cases and test scripts for the User Acceptance Testing(UAT).

Confidential

QA Analyst

Responsibilities:

• Involved in “” and “Providers” module.
• Involved in Estimations for Functional Testing
• Preparation of Test Scenarios for Interface, Reports & letter Requirements.
• Involved in Peer review of Test Scenarios and Functional Test cases.
• Involved in Execution of Interfaces/Extension/Reports/Letters
• Preparation of Test Cases and Test Scenarios.
• Maintaining Defect/Issues/Observations Tracking sheet.
• Requirement Understanding
• Defect Tracking & reporting
• Database testing of reports and Extracts
• Conducted functional testing and regression testing
• Interaction with Client, Developers, Onsite coordinators

Environment: HIPAA 4010/5010, FACETS 4.71, EDI 837, 835, 834, ICD 9 CM ICD 10 CM, MS Visio, Word, Excel, PowerPoint, SQL

Confidential

QA Tester

Responsibilities:

• Involved in preparing Test Plans and Test Cases based on the business requirements.
• Followed Agile Methodology to emphasize on real time communication over written documentation and to minimize risk by implementing software test effort in short time sprints or iterations.
• Tested the web application for compatibility in different browsers like IE, Google Chrome and Mozilla Firefox.
• Detailed analysis was done to validate the applications functionality in multiple browsers and a comprehensive comparison was done to ensure the consistency.
• Used JIRA for error reporting and communicating between developers, product support and test team members.
• Managed and conducted Defect review and test execution status meeting with cross project team members.
• Performed various types of testing such as Functional, Smoke, Black box, Compatibility, Regression, SIT, UAT, Backend using WINSQL.
• Performed several types of testing such as Functional, Smoke, Black box, Compatibility, Regression, SIT, UAT, Backend using WINSQL.
• Performed Regression testing as and when required to ensure the stability of the application
• Created defects that were identified during the course of test execution in JIRA.
• Maintaining the test execution results and review reports.
• Prioritize testing priorities based on business risk, Access testing assets.
• Performed Data validation of the data flow from the front-end to back-end by executing SQL scripts.

Environment: Toad, SQL, TFS, Visual Basic, Agile, Oracle, Windows, JIRA, UNIX